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KANALE KAPONO RODRIGUES
NPI 1740014380
Dietitian, Registered in Riverside, CA

Active since August 27, 2024
8876 MISSION BLVD, RIVERSIDE, CA 92509(951) 272-5580 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kanale Kapono Rodrigues NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANALE KAPONO RODRIGUES (NPI 1740014380) is an individual dietitian, registered in Riverside, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1740014380
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameKANALE KAPONO RODRIGUES
Location Address8876 MISSION BLVDRiverside, CA 92509-2811
Mailing Address8876 Mission BlvdRiverside, CA 92509-2811 · (951) 272-5580
Phone(951) 272-5580
Sole ProprietorNo
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1740014380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
8876 MISSION BLVD, Riverside, CA 92509
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanale Kapono Rodrigues is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kanale Rodrigues reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Riverside
Same address
Federally Qualified Health Center (FQHC)
8876 MISSION BLVD
Jurupa Valley, CA 92509
  • Reassigned Medicare billing, California enrollment
  • 336 clinicians in this Medicare group
NPI 1871607713 (951) 360-8795

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA MARIE BARAJAS
Community Health Worker
8876 MISSION BLVD
RIVERSIDE, CA 92509
Riverside County (951) 358-7200
DR. JONATHAN PARK MD
Family Medicine
8876 MISSION BLVD
JURUPA VALLEY, CA 92509
Riverside County (951) 360-8795
MRS. DAISY PEARSON
Case Manager/Care Coordinator
8876 MISSION BLVD
JURUPA VALLEY, CA 92509
Riverside County (951) 955-3510
YENICKA NATALIE AVILA
Social Worker (Clinical)
8876 MISSION BLVD
RIVERSIDE, CA 92509
Riverside County (951) 360-8795
SHARON E BECKWITH RDN
Dietitian, Registered
8876 MISSION BLVD
JURUPA VALLEY, CA 92509
Riverside County (626) 483-7384
MR. DANIEL JOSE DIAZ
Counselor
8876 MISSION BLVD
RIVERSIDE, CA 92509
Riverside County (951) 955-0958
VANDNA MITTAL
Counselor
8876 MISSION BLVD
JURUPA VALLEY, CA 92509
Riverside County (951) 360-8795
CHELSY AMERICA PALAFOX
Specialist/Technologist, Other
8876 MISSION BLVD
JURUPA VALLEY, CA 92509
Riverside County (951) 955-1856

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanale Rodrigues's NPI number?

The NPI number for Kanale Rodrigues is 1740014380. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Kanale Rodrigues located?

Kanale Rodrigues practices at 8876 Mission Blvd, Riverside, CA 92509. The listed phone number is (951) 272-5580.

What is Kanale Rodrigues's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kanale Rodrigues enrolled in Medicare?

Yes. Kanale Rodrigues is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kanale Rodrigues's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanale Rodrigues reassigns Medicare benefits to County Of Riverside (Jurupa Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kanale Rodrigues's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kanale Rodrigues was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.